MEDICARE: MS. LIBBY LYN EBER L.M.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MSG010989

General Provider Information

NPI Number	:	1295343440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LIBBY LYN EBER L.M.T.

Provider Business Mailing Address
First Line	:	3045 WEST LIBERTY AVENUE
Second Line	:	SUITE #7
City	:	PITTSBURGH
State	:	PA
Zip	:	15216
Country	:	US
Telephone Number	:	412-716-5732
Fax Number	:

Provider Business Practice Location Address
First Line	:	3045 WEST LIBERTY AVENUE
Second Line	:	SUITE #7
City	:	PITTSBURGH
State	:	PA
Zip	:	15216
Country	:	US
Telephone Number	:	412-716-5732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2020
Last Update Date	:	07/17/2020

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